Provider Demographics
NPI:1326773672
Name:UNIFIED HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:UNIFIED HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:HUA
Authorized Official - Last Name:WAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:661-948-4429
Mailing Address - Street 1:1206 W AVENUE J STE 100
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2956
Mailing Address - Country:US
Mailing Address - Phone:661-948-4429
Mailing Address - Fax:661-726-6256
Practice Address - Street 1:1206 W AVENUE J STE 100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2956
Practice Address - Country:US
Practice Address - Phone:661-948-4429
Practice Address - Fax:661-726-6256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty